Breast Cancer

Independent co-pay assistance foundations have their own rules for
eligibility. We cannot guarantee a foundation will help you. We only
can refer you to a foundation that supports your disease state. This
information is provided as a resource for you. We do not endorse or
show financial preference for any particular foundation. The
foundations in this list are not the only ones that might be able to
help you.

Referrals to the Genentech®
Access to Care Foundation

The Genentech Access to Care Foundation, or GATCF, can help you
receive your Genentech medicine free of charge, if you qualify.

Other Options May Be Available

You can also call PERJETA Access Solutions at (888) 249-4918 and speak with one of our Specialists.

You’ll have to fill out Sections 5 and 6 of the PAN form to apply for
GATCF.

If you have health insurance, you must have already tried other
types of patient assistance to qualify for free Genentech medicine
from GATCF. This includes the Genentech BioOncology Co-pay Card and
support from independent co-pay assistance foundations. You must
also meet financial criteria. If you do not have insurance, you must
meet different financial criteria.

Referrals to the Genentech
BioOncology Co-pay Card

PERJETA Access Solutions can refer you to the Genentech BioOncology
Co-pay Card. It can help you with the out-of-pocket costs of your
Genentech medicine, if you’re eligible.

The Genentech BioOncology Co-pay Card helps patients with commercial
health insurance. This might be a plan you get through your employer
or one you purchased through a Health Insurance Marketplace like
HealthCare.gov. To qualify, you must also meet other criteria.

In order to be eligible for the Genentech BioOncology Co-pay Card,
the patient must have commercial insurance, must not have Medicare,
Medicaid or other government insurance, and must meet other
eligibility criteria. They also must agree to the rules set forth in
the terms and conditions for the program. Please visit CopayAssistanceNow.com for the full list of
terms and conditions.

The Access Solutions logo is a registered trademark of Genentech, Inc.

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